CONSTRUCTION OF TARI TOWN WATER SUPPLY, HELA PROVINCE.

Construction Safety And Health Plan

DESCRIPTION: This shall govern the preparation and implementation of the contractor’s
Construction Safety and Health Program for the specified project. The guidance document is not
intended to be an all-inclusive listing of safety and health procedures. This guidance document
outlines safety management credentials, general safety activities, procedures, and reporting
requirements for the contractor to prepare a project-specific Safety and Health Plan. The
contractor shall prepare and implement their approved project-specific Construction Safety and
Health Plan throughout the construction phase of the project.

The contractor shall submit the project-specific Construction Safety and Health Plan to a
safety representative prior to the beginning of the construction phase of the project. This
plan will be reviewed for information outlined in the appendix of this specification in order
to verify that the contractor recognizes the requirement to comply with OSHA
regulations. The Safety Representative will review for compliance and issue a
concurrence/nonconcurrent on the Construction Safety and Health plan. When the plan
complies with the requirements the concurrence shall be sent to the project
engineer/inspector and documented on the Contractor Safety and Health Plan Tracking
Log by the safety representative. The Contractor shall be responsible for meeting or
exceeding applicable OSHA requirements and implementing the plan during
construction.

INTRODUCTION: This Construction Safety and Health Program for contractors has been
written to direct and control the activities of all persons performing and managing construction
projects for TARI Town Water supply in order to prevent accidents, and injuries including
equipment and property damage.

The term "Contractor" in this document refers to the general or prime Contractor for the
specific construction project. It shall be noted that while the Contractor is responsible for
the project safety program, subcontractors are required to work under the conditions of
the Contractor's Construction Safety and Health Program.

The term "Construction Safety and Health Program" in this document refers to the
Contractor's Project Specific Safety Plan. It is expected that each contractor will utilize
their company’s Construction Safety and Health plan as a foundation for the site-specific
program.

The Construction Safety and Health Plan is not intended to be an all-inclusive listing of
safety and health procedures. It is a guidance document that outlines general safety
activities, procedures, and reporting requirements to be implemented by the Contractor.

Contractors working on TARI Town Water Supply construction projects shall have their
own safety and health plan, which complies with the Occupational Health & Safety
Administration’s (OSHA requirements of a Construction Safety and Health Program and
with all applicable regulations. Individuals working on TARI Town Water Supply
construction projects are responsible for
 CONSTRUCTION OF TARI TOWN WATER SUPPLY, HELA PROVINCE.

knowing all safety rules, being alert, and practicing good, sound judgment in the
performance of their jobs, even if specific safety rules are omitted from the Construction
Safety and Health Program. Subcontractors and their employees are responsible for
following all requirements of the Construction Safety and Health Program.

Safety guidelines shall be understood and followed by all individuals while on the job
site. Violation of these guidelines, either in job performance or in the letter of the
Construction Safety and Health Program, will result in a work stoppage until safety
requirements are properly fulfilled. The Contractor’s project manager shall review the
specific violation and identify/implement proper corrective action prior to the continuance
of the work activity for which the violation was identified.

The Contractor’s Project Specific Construction Safety and Health Program shall be
prepared and submitted prior to the Pre-Construction Conference and will be reviewed
prior to the issuance of a notice to proceed with Construction Phase Activities.

SAFETY RESPONSIBILITIES, AUTHORITY AND ACCOUNTABILITY:

The principal organizations involved in carrying out the Construction Safety and Health
Program include the financing and regulatory agencies, the facility Owner/Operator, the
Water PNG Ltd representative, the preparer of the construction documents (the Engineer),
the Contractor Project Manager, the Safety & Environmental Health Professional
(Representative), the Construction Contractor, and all Subcontractors. The
responsibilities of each of these organizations and representatives are presented in the
following paragraphs.

1. Subpart A - General, Inspections, Administrative

2. Subpart B – General Interpretations, Rules
3. Subpart C – General Safety and Health Provisions
4. Subpart D - Health and Environmental Controls
5. Subpart E - Personal Protective Equipment and Life Saving Equipment
6. Subpart G - Signs, Signals and Barricades
7. Subpart H - Materials Handling, Storage Use and Disposal
8. Subpart I – Tools, Hand and Power
9. Subpart J – Welding and Cutting
10. Subpart K – Electrical
11. Subpart L – Scaffolding
12. Subpart M – Fall Protection
CONSTRUCTION OF TARI TOWN WATER SUPPLY, HELA PROVINCE.

13. Subpart N - Cranes, Derricks, Hoists, Elevators, and Conveyors

14. Subpart O – Motor Vehicles, Mechanized Equipment
15. Subpart P - Excavations, Trenching and Shoring
16. Subpart Q – Concrete and Masonry Construction
17. Subpart R – Steel Erection
18. Subpart S – Underground Construction
19. Subpart X – Ladders
20. Subpart Y – Commercial Diving Operations
21. Subpart Z – Toxic and Hazardous Substances

Also, 29 CFR, Subtitle B, Chapter XVII, Part 1910 covers safety activities related to
health requirements, medical monitoring, and exposure limits to chemical substances.
OSHA reserves the right to review any Construction Safety and Health Program and to
accept or reject all or part of those documents. OSHA also has the authority to review
safety records during or after construction to confirm that the project is being/was
constructed in a safe manner and that it meets or exceeds all applicable safety
standards and requirements. Additional guidance can be obtained at:

Any of the above agencies may send representatives to the job site, without prior notice,
which may inspect, review, or comment on safety issues during their visits. All
Contractor job sites shall be immediately accessible to appropriate local, State, and
Federal agency safety and environmental health officials.

1. The Owner of the Water, Wastewater, and Recycle Water Systems and all
associated design and construction requires that all Contractors have a project-
specific safety and health plan and that it comply with OSHA regulations and this
Construction Safety and Health Program. Once accepted the Construction
Safety and Health Program, the Construction Contractor shall implement the
plan. The Contractor will ensure that its Subcontractors comply with all safety
requirements, as Water PNG Ltd does not have a contractual relationship with
the Subcontractors.

2. Contractor Project Manager: The Contractor Project Manager must be a

“competent" person who has been designated as the field representative by
the
CONSTRUCTION OF TARI TOWN WATER SUPPLY, HELA PROVINCE.

Contractor. A “competent” person is one who has been trained in excavation

safety, work zone traffic control, confined space entry, and hazardous materials
responsibilities and has the authority to take prompt, corrective measures to
eliminate problems.

Competent person training and certification are required and are available by
training programs offered by different agencies throughout the country.
Additionally, this person must have the authority to perform such duties as sign
pay requests, negotiate change orders, etc.

The Project Manager’s primary responsibility is to conduct construction activities,

in compliance with applicable OSHA safety regulations and WPNGL safety and
environmental health requirements, to assure completion of the project according
to contract documents. The Project Manager is also responsible for regular
review of safety documentation and reports and forwarding such documents to
WPNGL.

If the Project Manager observes a violation of safe work practice, he or she shall
take immediate appropriate corrective action and shall advise the WPNGL
Construction Observer/Inspector (C.O.I.), of all corrective actions implemented.
All violations and corrective action shall be documented in accordance with
contract documents. The Project Manager shall be present during all
Construction Activities on the project site. The Contractor shall also provide a list
of alternate competent persons at the project site.

3. Safety and Environment Health Representative: WPNGL will designate a

WPNGL Safety and Environmental Health Representative for the project. The
overall responsibility of the Safety and Environmental Health Representative is to
ensure that the Contractor and Subcontractors are executing construction in
accordance with appropriate safety and environmental health regulations and to
perform the safety and environmental health review activities specified in the
Construction Safety and Health Program.

There may be more than one (1) such representative assigned by WPNGL to a
project. In such an event, the WPNGL Contractor Safety and Environmental
Health Liaison shall take the lead.

The Safety and Environmental Health Representative will be available to advise

the Project Manager and/or WPNGL "C.O.I." during random visits and/or by
specific request. The Safety and Environmental Health Representative's duties
include, but are not limited to:

a. Performing safety evaluations of the work in-progress;

b. Meeting and conferring in a supportive, inclusionary, manner with

contractors regarding safe work-related matters;
 CONSTRUCTION OF TARI TOWN WATER SUPPLY, HELA PROVINCE.

c. Reporting on safety observations to the Contractor’s on-site supervisor

and to the Director of Safety & Environmental Health;

d. Providing safety reports. Such reports will include results of observations

with specified corrective measures;

e. Monitoring site operations of the Prime Contractor and Subcontractors for

compliance with applicable OSHA safety regulations and WPNGL
requirements.

4. Construction Observer/Inspector: WPNGL will designate a Construction

Observer/Inspector - "C.O.I." for the project. The C.O.I. is the “Authorized
Representative” of the owner (WPNGL) and will be assigned by the owner to
observe and inspect any or all parts of the project and the materials to be used
therein. The responsibility of the C.O.I. is to observe the Contractor and
Subcontractors during construction activities in accordance with directives,
ensure completion of the project according to the plans and specifications,
including the observation of the implementation and performance of the Project-
Specific, OSHA-compliant, Construction Safety and Health Program.

If the C.O.I. observes a violation of a safe work practice, he or she shall

immediately bring it to the attention of the Project Manager and/or the Safety and
Environmental Health Representative as soon as is practical as required.

The C.O.I. has the authority to direct the Contractor to stop work, at no additional
cost to the contract, if the activity appears to place any personnel (Contractor’s,
WPNGL’, subcontractors’, or the general public) in a compromising and/or
potentially dangerous situation.

CONSTRUCTION CONTRACTOR: It is the Contractor's responsibility to ensure that all

construction is carried out in a safe manner; that does not pose a threat to personal health or
property. The Contractor's specific responsibilities include, but are not limited to the following:

a. Preparation of a project-specific safety and health plan to be submitted to

WPNGL for review;

b. Providing a safe workplace for all personnel on-site;

c. Enforcing the project-specific safety and health plan with all personnel and
subcontractor personnel;

d. Educating and training construction personnel on safety and health requirements,

safe equipment and vehicle operation and ensuring that all subcontractor
personnel are adequately trained and informed;
CONSTRUCTION OF TARI TOWN WATER SUPPLY, HELA PROVINCE.

e. Conducting routine safety meetings with on-site personnel and subcontractors;

f. Recording all incidents and reporting them to WPNGL;

g. Maintaining a drug-free workplace.

1. Safety and Health Activities – Administrative: Certain Safety and

Environmental Health activities shall be routinely handled by the
Contractor's representative. Safety supervision procedures such as
conducting safety meetings, routine safe work inspection and reporting,
training, education and notification of safety requirements and pre-
qualifying employees based on physical capabilities shall serve to help
prevent accidents, injuries, and property or equipment damage.

2. Safety Meetings: Safety meetings shall be conducted to review past

activities, plan for new or changed operations, review pertinent
information on specific task-related hazards, and remind job personnel of
the importance of working safely. A routine safety meeting schedule shall
be specified in the Contractor's Construction Safety and Health Program.

3. Safety Training and Education: Employees shall be afforded the

appropriate safety and health training at the start of employment, and
at intervals appropriate to maintain safety and health awareness in the
performance of their jobs. This training is the responsibility of the
Contractor and shall be administered by qualified personnel.

A minimum of two (2) employees at each job site, shall have certified First
Aid and Cardio-Pulmonary Resuscitation (CPR) training to ensure
adequate and immediate response to on-the-job injuries, illnesses and
accidents. In addition, all training deemed necessary for the operation of
equipment and performance of specific tasks shall be based on current
manufacturers, OSHA, and WPNGL requirements. All supervisors shall
be trained with respect to their responsibility to maintain a safe working
environment and preparation and maintenance of safety and health
documents.

Safety and health education and awareness training shall be promulgated

by the Contractor, including the posting of OSHA and other applicable
safety and health regulations and requirements. Such information shall
inform employees at a project site not only what the safety and health
requirements are, but also of what rights they have to a safe work
environment.

4. Safety and Health Inspections: The Construction Safety and Health

Program shall provide frequent safety reviews of the job site, equipment,
and materials to ensure compliance with the site’s approved safety
and
CONSTRUCTION OF TARI TOWN WATER SUPPLY, HELA PROVINCE.

health plan. These reviews shall be conducted by qualified (Contractor)

personnel and shall be documented.

In addition, the Contractor's quality assurance personnel shall perform

daily safety and environmental health reviews, as a part of their quality
assurance activities. If safety and health deficiencies are identified in a
review, a follow-up review shall be accomplished by the contractor’s
management to ensure the deficiency has been corrected within a
reasonable amount of time. All deficiencies shall be corrected as soon as
possible. Specific circumstances that require a separate safety evaluation
include:

a. When persons are working in an excavation, the excavation,

adjacent areas, and protective systems shall be monitored
continually throughout the work shift and as needed after rain or
other hazard-increasing events. This monitoring shall be detailed
in the Project-Specific Safety and Health Plan as a routine activity;

b. All motor vehicles and mobile equipment shall be inspected at

regular intervals by a representative of the Contractor. These
safety inspections shall be documented, and files maintained.
Such documentation shall be regularly reviewed by the WPNGL
Safety and Environmental Health Representative and may be
reviewed by the C.O.I.

5. Reporting: The Project Manager is responsible for reporting all safety-

related incidents and accidents to Contractor Management, WPNGL
C.O.I., and WPNGL Safety and Environmental Health Representative. All
such incidents and accidents must be reported by the Project Manager as
soon as possible; meaning without undue delay or hesitation. Major
accidents, which are reportable to OSHA directly, include 1. a fatal injury
and/or 2. three (3) or more persons admitted to a medical facility. Such
major accidents shall be reported immediately.

Such reporting procedures shall be outlined in the Contractor's

Construction Safety and Health Program. This procedure shall identify
personnel and their phone numbers for such reporting.

All incidents or accidents shall require the contractor to revise and

resubmit their construction safety and health plan for review of how said
incident or accident was taken into consideration for future avoidance.

6. Physical Qualifications of Employees: All persons shall be physically,

medically, and emotionally qualified to perform the essential functions of
their job description. Appropriate medical monitoring shall be conducted
when required by law and whenever an accident or injury has occurred.
CONSTRUCTION OF TARI TOWN WATER SUPPLY, HELA PROVINCE.

7. Alcohol and Drug-Free Workplace: All persons working on job sites are
required to maintain an alcohol and drug-free workplace. At no time while
on the premises may employees use, or be under the influence of,
alcohol, narcotics, intoxicants, or similar mind-altering substances. Any
Contractor or Subcontractor who is aware of a person using the
aforementioned substances shall take action consistent with applicable
laws and regulations. Workers compensation insurance does not cover
incidents, injuries or illnesses caused by the use of alcohol, narcotics,
intoxicants or mind-altering substances.

8. Safety and Health Activities - Job Site: Certain safety and health activities
apply more to specific tasks at the job site and are appropriate
for supervisors as well as technicians. These activities include knowledge
of project-specific safety and health requirements, use of personal
protective equipment, safe operation of vehicles, and other equipment
and proper hazard communication (HAZCOM) and emergency response
actions.

9. Site-Specific Safety and Health Procedures: Safety and health

procedures associated with specific activities (such as trenching, soil
stockpiling, placement of pipe, tank installation, pump and other
equipment installation, etc…) shall be explicitly covered in the
Contractor's Construction Safety and Health Program. The Contractor
shall identify all activities associated with the construction of his/her
project and describe safety and health procedures for any applicable
activity. The minimum basic outline for a safety and health plan is
provided in the Appendix. This safety and health plan will be reviewed
and approved by WPNGL and shall include:

a. The Construction Contractor’s "competent" person shall oversee

safe work practices at the project site in accordance with
applicable OSHA regulations;

b. Procedures for trenching and related activities shall follow the

requirements of 29 CFR 1926, Subpart P, and Item 402 of
TxDoT’s 2004 Standard Specifications for Construction and
Maintenance of
CONSTRUCTION OF TARI TOWN WATER SUPPLY, HELA PROVINCE.

Highways, Streets and Bridges to prevent trench cave-ins and

related injuries;

c. All crane operations and lifting of heavy or cumbersome objects,

such as associated with tank installation, shall comply with 29
CFR 1926, Subpart N, to prevent personal injury and equipment
damage;

d. Persons entering confined spaces shall have completed all proper

training and understand how and when to sample and identify
confined spaces according to 29 CFR 1910.146. A confined
space rescue plan shall also be identified in the project-specific
safety and health plan. Contractors should refer to the SAWS’
Confined Space Entry Program for Guidance;

e. Lockout/tagout procedures for electrical and mechanical

equipment and hazards at each job site shall be identified and
described in the project-specific safety and health plan.
Contractors should refer to the SAWS Lockout/Tagout/Blankout
Program for guidance.

f. Procedures for traffic control safety according to Item 502 of

TxDoT’s 2004 Standard Specifications for Construction and
Maintenance of Highways, Streets and Bridges. Contractors
should refer to the SAWS Work Zone Traffic Control Program for
guidance;

g. Procedures related to storage and handling of hazardous materials;

h. Procedures for utility awareness (including, but not limited to, the
location and identification of utilities such as gas, electrical,
telephone, water, sewer, recycle water, cable systems, etc.).

Personal Protective Equipment: The use of personal protective

equipment (PPE) is an important step in preventing accidents,
injuries and illnesses. PPE ranges from every day, mandatory
protective equipment to fully-encapsulating equipment, depending
on the specific task and job site. One circumstance which shall
require a higher level of PPE is construction in areas of
contaminated soils. Each Contractor, Subcontractor, and
individual employee shall think through the job(s) to be performed
and prepare a job hazard analysis (JHA) to identify the proper
PPE. The project-specific Construction Safety and Health Program
shall identify different types of PPE and how and when they will be
used.

All persons working in, visiting and/or inspecting SAWS job sites
shall wear the proper PPE, regardless of their actual participation
in the work being conducted. Contractors should refer to the
SAWS Personal Protective Equipment Program for guidance.
CONSTRUCTION OF TARI TOWN WATER SUPPLY, HELA PROVINCE.

In general, the following types of PPE shall be provided by the Contractor

and made available to all persons working at the TARI Town Water Supply
job sites:

a. Head protection;

b. Reflectorized vests or other clothing;

c. Eye and face protection;

d. Hearing protection;

e. Safety-toed footwear;

f. Hand and arm protection;

g. Respiratory protection;

h. Fall protection;

i. Protective clothing and other special body protection.

Contractor shall post notices directing personnel to use specific PPE, such
as in that listed above; i.e.:

a. All construction sites shall have signs posted instructing the use of
hard hats. All hard hats used at TARI Town job sites shall
conform with American National Standard Institute (ANSI) Code
Z89.1;

b. Areas where generators, jackhammers, etc., and other loud

equipment or vehicles are in use, in excess of a potential
exposure of 85 dBA, shall have signs posted requiring the use of
the appropriate hearing protection.

10. Safe Operation of Construction Equipment: All vehicles and equipment

shall be operated in a safe manner to prevent personal injury or
equipment damage. The Contractor shall not permit untrained or
unqualified personnel to operate any vehicles or equipment. Operators of
any equipment or vehicles shall be able to read and understand the signs,
signals and operating instructions in use. Seat belts shall be worn by
vehicle operators and equipment operators if the equipment is so
equipped.

11. Hazard Communication and Emergency Response: According to the

Community Right-to-Know Act, 29 CFR 1910.1200, all persons on and off
the job site must have access to information on hazardous materials and
substances which are used or encountered in the workplace. Hazardous
CONSTRUCTION OF TARI TOWN WATER SUPPLY, HELA PROVINCE.
and
CONSTRUCTION OF TARI TOWN WATER SUPPLY, HELA PROVINCE.

regulated chemicals shall be labeled and material safety data sheets

(MSDS) shall be available, if applicable. Contractors should refer to the
SAWS Hazard Communication Program for guidance.

Emergency telephone numbers and reporting instructions shall be

conspicuously posted at all job sites. A reliable means of communication
shall be provided from each job site to outside emergency responders.

12. First-Aid and Medical Services: Each job site shall be equipped with a
first- aid kit, and other emergency equipment, supplied by the Contractor
and/or each Subcontractor. Medical services and first-aid required by
OSHA are described in 29 CFR 1926.50. Proper equipment for
emergency transportation of an injured employee to a doctor or hospital
shall be available. Maps, telephone numbers, and street addresses of the
nearest emergency medical facility and/or hospital shall be identified in
the Project- Specific Construction Safety and Health Program. This
information shall be posted in a clear, accessible location available to all
personnel on-site. This material must also be included in all training for
contractor personnel.

13. On-Site Fire Prevention: The Contractor shall specify a fire protection and
prevention plan within the project-specific Construction Safety and Health
Program, and shall provide for all appropriate firefighting equipment
required by 29 CFR 1926, Subpart F. The Contractor shall ensure clear
access to all available firefighting equipment and shall maintain
equipment at all times. The Contractor shall ensure that all on-site
equipment is conspicuously located. Contractors should refer to the
SAWS Hot Work Permit Program for guidance.

Fire protection includes the provision of a water supply, extinguishers and

other equipment, as well as, proper training and/or education. Fire
prevention includes the identification of ignition sources, proper storage of
equipment and materials which allows access to fire exits, storage and
use of flammable and combustible liquids, and other activities to prevent
fires from starting. Smoking shall be prohibited except in specifically-
identified and posted locations on SAWS job sites.

14. Electrical Safety: Guidance for on-site electrical safety procedures may
be found in the National Electric Code (NEC), 29 CFR 1926, Subpart K,
and in the U.S. Army Corps of Engineers Safety and Health
Requirements Manual. In general, before any work is done, the
Contractor shall determine whether any part of an electrical power circuit,
exposed or concealed, is located such that performance of work could
bring any person or equipment into contact with it. Persons working in
areas of electrical circuits shall be protected by clearance procedures and
grounding. Live parts of wiring or equipment shall be guarded to protect
all persons or objects from harm. The Contractor shall assure that
proper lockout and tagout procedures are
CONSTRUCTION OF TARI TOWN WATER SUPPLY, HELA PROVINCE.

followed. Only qualified Contractors’ personnel, specifically trained in

electrical work, are allowed to handle “live”, or “potentially live” electrical
equipment. Please refer to the SAWS Lockout/Tagout/Blankout Program
for guidance.

15. Safety Documentation: All safety and health activities shall be

immediately documented by the Contractor. Copies of all documentation
shall be maintained by the Contractor.

16. Routine Safety Inspections and Training: Routine safety and health
inspections, and training activities, shall be recorded including the date,
scope of the inspection or training, person performing the inspection or
training, persons attending, and the name and signature of the person
preparing the report. Forms for such reporting shall be developed by the
Contractor. A current inspection and training file on each project shall be
maintained by the Contractor.
17. Incident/Accident Reporting: All incidents/accidents that occur to persons
or property shall be investigated and reported by the Contractor on an
incident/accident report form (Report form to be provided by the
Contractor in his/her Project Specific Construction Safety and Health
Program). Exposures to toxic materials and harmful physical agents shall
also be documented by the Contractor in accordance with applicable
regulations. The Contractor shall provide copies of incident/accident
reports to SAWS Construction Inspection Division and the SAWS Safety
and Environmental Health Representative.

18. Workers Compensation Claims: The Construction Contractor must

provide a "Certificate of Coverage" to the owner showing statutory
worker's compensation insurance coverage for all employees who will be
performing construction of the project, for the duration of the project. The
Construction Contractor shall post, on each project site, a conspicuous
notice, written in the form prescribed by the Texas Worker's
Compensation Commission, informing all persons providing services on
the project that they are required to be covered; and stating how a person
may verify coverage and report lack of coverage.

These requirements are a condition of the contract general conditions.

Failure to comply with these requirements is a breach of contract by the
Construction Contractor.

All Subcontractors must also have a "Certificate of Coverage" verifying

Workers Compensation coverage. These "Certificates of Coverage" shall
be presented by the Contractor to SAWS prior to the beginning of any
construction activities.
 CONSTRUCTION OF TARI TOWN WATER SUPPLY, HELA PROVINCE.

The SAWS Risk Management Division must review and approve

“Certificates of Coverage” prior to the beginning of construction.

902.2 MEASUREMENT: Measurement of the Item, "Safety and Health Program," as specified
herein, will not be measured for payment.

902.3 PAYMENT: No direct payment shall be made for incidental cost associated with
preparation and implementation of the Contractor’s project specific Construction Safety
and Health Program.

902.4 APPENDIX: MINIMUM BASIC OUTLINE FOR A CONTRACTOR'S SAFETY AND

HEALTH PLAN

The following outline may be used to develop a project-specific Contractor Construction

Safety and Health Program. All safety and health plans must comply with this overall
Construction Safety and Health Program. A “plan” shall be job-specific and, in addition
to expected features, shall address any unusual or unique aspects of the job or activity
for which it is written.

1. Signature Sheet: Provide the title, signature, and phone number of the following:

a. Plan preparer (i.e. Contractor safety and health staff person, QC);

b. Plan approval by the Contractor (i.e., president, regional representative).

2. Background Information: List the following information:

a. Contractor;

b. Contract number;

c. Project name;

d. Brief project description, description of work to be performed, and location;

e. Contractor and Subcontractor's accident experience (actual lost time

injury frequency for the last 12 months and their most recent Worker's
Compensation Experience Modifier);

f. List of activities or areas which will potentially require hazardous materials

analysis and management.

3. Responsibilities and Lines of Authorities:

a. Identification and accountability of personnel responsible for safety and

health – at both corporate and project level – including both prime and
sub-
CONSTRUCTION OF TARI TOWN WATER SUPPLY, HELA PROVINCE.

contractors (contracts specifically requiring safety and health, or industrial

hygiene, personnel shall include a copy of their resume for acceptance by
SAWS);

b. Lines of authority and levels of authorization, including liaison with SAWS

C.O.I.s and Safety and Environmental Health Representatives shall be
specified.

4. Subcontractors and Suppliers: If any subcontractors will be used and for major
material suppliers, please provide the following:

a. Identification of subcontractors and suppliers;

b. Means for controlling and coordinating subcontractors and suppliers;

c. Safety and health responsibilities of subcontractors and suppliers.

5. Training:

a. List subjects to be discussed with employees during project safety and

health orientation;

b. List mandatory training and certifications which are applicable to this

project (e.g., confined space entry, crane operator, vehicle operator,
HAZWOPER training and certification, personal protective equipment, to
name a partial list) and any other applicable requirements for periodic
retraining/recertification;

c. Identify requirements for emergency response training;

d. Outline requirements (who attends, when given, who will conduct etc.) for
supervisory and employee safety meetings.

6. Safety and Health Inspections:

a. Discuss who will conduct safety and health inspections; when inspections
will be conducted; how the inspections will be recorded; address the
deficiency tracking system, follow-up procedures, etc.;

b. Discuss how any external inspections/certifications (such as by a third

party) will be incorporated and responded to by the Contractor.
CONSTRUCTION OF TARI TOWN WATER SUPPLY, HELA PROVINCE.

7. Safety and Health Expectations, Compliance and Incentive

Programs: Please discuss the following:

a. The Contractor's written safety and health plan goals, objectives, and
incident / accident experience goals for this project;

b. Written Contractor policies and procedures for managers and supervisors

safety and health accountability;

c. Policies and procedures regarding noncompliance with safety and health

requirements (to include disciplinary actions for violation of safety and health
requirements);

d. A brief description of the Contractor's safety incentive programs (if any);

e. Written Contractor and Subcontractor drug testing policies.

8. Accident Reporting: The Contractor shall designate the procedure (who, when,
hows) for who completes the following:

a. Exposure data (man-hours worked);

b. Incident / accident investigations, reports and logs;

c. Immediate notification of major incidents / accidents and equipment

damage.

9. Medical Support: Outline on-site medical support and off-site medical

arrangements (See Page 14, First-Aid and Medical Services for details).

10. Personal Protection Equipment: Outline procedures (who, when, how) for
conducting hazard assessments to determine engineering resolution, followed by
proper use of personal protective equipment if unable to resolve through design.
List all personal protective equipment which is available and shall be used for the
subject project. Also list the PPE requirements, which will be posted on the job
site.
 CONSTRUCTION OF TARI TOWN WATER SUPPLY, HELA PROVINCE.

CONSTRUCTION SAFETY AND HEALTH PROGRAM

RECEIPT AND ACKNOWLEDGMENT PAGE

I will learn the hazards of the construction project and follow all appropriate safety and health
rules and procedures as stated in my company safety and health program.

I will immediately report unsafe behaviors (acts) and hazardous conditions to my supervisor
and/or Contractor Project Manager.

I understand that violation of appropriate safety and health guidelines can result in work
stoppage until safety and health requirements are met.

I will report all accidents and related incidents to my supervisor and or the Contractor Project
Manager.

I will wear the proper personal protective equipment, regardless of my direct participation in the
hazard’s of work being conducted.

I will assist the overall construction safety and health effort by personally demonstrating a "safe
attitude" and by forming good work habits.

I am responsible for my own safety and health and that of my fellow coworkers.

Employee's Name Date

Supervisor's Name Date

This RECEIPT AND ACKNOWLEDGMENT PAGE must be signed by both the Contractor
employee and his/her supervisor. The supervisor will then remove the signed acknowledgment
from the Construction Safety and Health Program, make a copy for the project safety file and
forward a copy to the Contractor Project Manager.

- End of Specification -